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Full text of "Pathogenic Bacteria"

37                 PATHOGENIC BACTERIA.

times contains them, so that the eruption may be regarded
as one of the local irritative manifestations of the bacillus.
The amount of local disturbance, in proportion to the
constitutional disturbance, is, in the majority of cases,
slight, and almost always partakes of a necrotic charac-
ter, which suggests that in typhoid we have to do with a
toxic bacterium whose disease-producing capacity resides
in the elaboration of a toxic substance. This, indeed,
is true, for Brieger and Frankel have separated from
bouillon cultures a toxalbumin which they thought to be
the specific poison. Klemperer and Levy also point out
further clinical proof in certain exceptional cases dying
with the typical picture of typhoid, yet without char-
acteristic post-mortem lesions, the only confirmation of
the diagnosis being the discovery of the bacilli in the
spleen.

Pfeiffer and Kolle found that the toxic substance resided
only in the bodies of the bacilli, and could not, like the
toxins of diphtheria and tetanus, be dissolved in the cul-
ture-medium. This was an obstacle to their immuniza-
tion-experiments as well as those of Loffler and Abel,
later to be described, for the only method of immuniz-
ing animals to large quantities of the bacilli was to make
massive agar-agar cultures, scrape the bacilli from the
surface, and distribute them through nutrient bouillon.
When injected into guinea-pigs the typhotoxin of
Brieger is productive of increased secretion of saliva, in-
creased rapidity of respiration, diarrhea, and mydriasis,
and usually causes a fatal termination in from twenty-
four to forty-eight hours.

As the discovery of the bacilli in the spleen, and espe-
cially the securing of a pure culture of the bacilli from
the spleen, are sometimes attended with considerable dif-
ficulty because of the dissemination of the colonies
throughout the organ, E. Frankel recommends that as
soon as the organ is removed from the body it be wrapped
in cloths wet with a solution of bichlorid of mercury and
kept for three days in a warm room, in order that a con-